# COMPLETE CARE GROUP HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paradise Palms Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134580459
- **Authorized official:** DR. STACEY CADAVAL DNP (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (702) 449-0122

## Contact information

- **Practice address:** 2437 HIGH VISTA CIR, HENDERSON, NV 89014-3707
- **Practice address phone:** (702) 449-0122
- **Mailing address:** 1680 SOMBRERO DR, LAS VEGAS, NV 89169-2564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2016
- **Last updated:** 03/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1518118850 | — | NV |